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DR. KRISTIN BOSC PHD

Clinical Neuropsychologist

Fayetteville, Arkansas

Provider NPI: 1740246784

Provider Information:
DR. KRISTIN  BOSC PHD
Gender: F
Not Sole Proprietor

Practice Location:
12 E APPLEBY RD SUITE 101 FAYETTEVILLE, AR 72703 US
Tel: 479-463-4444  Fax: 479-463-4499

Business Mailing Address:
12 E APPLEBY RD SUITE 101 FAYETTEVILLE, AR 72703 US
Tel: 479-463-4444  Fax: 479-463-4499

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
AR04-17P

Other Provider Identifiers:

IssuerNumberStateType
5Y08204
Q3097902
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS AR - Page 1



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